Textbook of Palliative Nursing

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Originally published in 2001, the Textbook of Palliative Nursing has become the standard text for the field of hospice and palliative care nursing. In this new edition, the authors and editors have updated each chapter to ensure that the content is evidence-based and current references areincluded. They also have retained the important focus on case studies throughout the text and practical, clinically-relevant tables, figures, and other resources. Like the previous edition, this text has an introductory section of the general principles of palliative care followed by acomprehensive section on symptom assessment and management encompassing twenty-one different symptoms. Other key sections include psychosocial support and spiritual care, providing holistic perspective on care of patients facing advanced disease. The text also includes an innovative section onspecial populations addressing those most in need of palliative care. The textbook is a useful resource for all nurses with the excellent section on end-of-life care across settings. In this new edition, the pediatric palliative care section has been greatly expanded and includes seven separatechapters on pediatric care. It includes a section on "special issues" addressing topics such as ethical considerations, nursing research, and public policy perspectives and concludes with a section presenting models of excellence including six international models. This edition also offers anarrative on dying based on a spouse's perspective. The text includes an appendix with an extensive list of resources for nurses in the field.

Forewords

p. v

Contributors

p. xv

General Principles

Introduction to Palliative Care Nursing Care

p. 5

Hospice Palliative Care: A Model for Quality End-of-Life Care

p. 13

Principles of Patient and Family Assessment

p. 47

Communication in Palliative Care

p. 67

Symptom Assessment and Management

Pain Assessment

p. 97

Pain at the End of Life

p. 131

Fatigue

p. 155

Anorexia and Cachexia

p. 169

Nausea and Vomiting

p. 177

Dysphagia, Xerostomia, and Hiccups

p. 195

Bowel Management: Constipation, Diarrhea, Obstruction, and Ascites

p. 219

Hydration, Thirst, and Nutrition

p. 239

Dyspnea, Death Rattle, and Cough

p. 249

Urinary Tract Disorders

p. 265

Lymphedema Management

p. 285

Skin Disorders: Pressure Ulcers-Assessment and Management

p. 301

Skin Disorders: Tumor Necrosis, Fistulas, and Stomas

p. 329

Pruritus, Fever, and Sweats

p. 345

Neurological Disturbances

p. 365

Anxiety and Depression

p. 375

Delirium, Confusion, and Agitation

p. 401

Sexuality

p. 421

Clinical Interventions, Economic Outcomes, and Palliative Care

p. 429

Urgent Syndromes at the End of Life

p. 443

Sedation for Refractory Symptoms and Terminal Weaning

p. 467

Complementary and Alternative Therapies in Palliative Care

p. 491

Psychosocial Support

The Meaning of Hope in the Dying

p. 513

Bereavement

p. 531

Supporting Families in Palliative Care

p. 545

Planning for the Actual Death

p. 561

Spiritual Care

Spiritual Assessment

p. 581

Spiritual Care Interventions

p. 595

Meaning in Illness

p. 605

Reflecting on the Journey: A Family Caregiver's Personal Perspective

p. 617

Special Patient Populations

Cultural Considerations in Palliative Care

p. 623

Elderly Patients

p. 635

Poor, Homeless, and Underserved Populations

p. 661

Patients with Acquired Immunodeficiency Syndrome

p. 671

Caring for the Drug-Addicted Patient at the End of Life

p. 713

End-of-Life Care Across Settings

Improving the Quality of Care Across All Settings

p. 725

Long-Term Care

p. 759

Home Care

p. 771

Hospital-Based Palliative Care

p. 787

The Intensive Care Unit

p. 817

The Outpatient Setting

p. 835

Rehabilitation and Palliative Care

p. 847

The Emergency Department

p. 861

The Role of Nursing in Caring for Patients Undergoing Surgery for Advanced Disease

p. 871

Palliative Chemotherapy and Clinical Trials in Advanced Cancer: The Nurse's Role

p. 881

Pediatric Palliative Care

Symptom Management in Pediatric Palliative Care

p. 895

Pediatric Care: The Hospice Perspective

p. 909

Pediatric Care: Transitioning Goals of Care in the Emergency Department, Intensive Care Unit, and In Between

p. 925

End-of-life Decision Making in Pediatric Oncology

p. 945

Palliative Care in the Neonatal Intensive Care Unit

p. 959

Grief and Bereavement in Pediatric Palliative Care

p. 975

Pediatric Pain: Knowing the Child Before You

p. 991

Special Issues for the Nurse in End-of-Life Care

The Experience of the Nurse in End-of-Life Care in the 21st Century

p. 1011

Ethical Considerations

p. 1031

Public Policy and End-of-Life Care: The Nurse's Role

p. 1055

Palliative Care and Requests for Assistance in Dying

p. 1067

Nursing Education

p. 1077

Nursing Research

p. 1093

Models of Excellence and Innovative Community Projects

Delivering Palliative Care in Challenging Settings and to Hard-to-Reach Populations